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Intraareolar polythelia: a rare anomaly

Rüstü Köse1, Abdullah Ozgoönül, Ismet Bingöl

  • 1Department of Plastic and Reconstructive Surgery, Harran University, School of Medicine, Sanliurfa, Turkey.

JPMA. the Journal of the Pakistan Medical Association
|July 5, 2012
PubMed

Insights

Polythelia, or supernumerary nipples, is common, but nipple dichotomy is rare. Surgical excision is a prophylactic measure against potential breast cancer risks associated with these anomalies.

Area of Science:

  • Medical Science
  • Pediatric Anomalies
  • Surgical Oncology

Background:

  • Polythelia, the presence of supernumerary nipples, is the most frequent pediatric breast anomaly.
  • Intraareolar polythelia, or nipple dichotomy, represents an exceptionally rare congenital malformation.
  • Surgical intervention for polythelia/polymastia is considered prophylactic against increased breast cancer prevalence.

Observation:

  • A case study of a 25-year-old woman with congenital polythelia in her right breast is presented.
  • The patient presented with two distinct nipples within the areola of her right breast.
  • Abdominal ultrasound confirmed the absence of associated urorenal malformations.

Findings:

  • Surgical management involved elliptical excision of the supernumerary nipple-areola complex under local anesthesia.
  • The procedure successfully addressed the congenital anomaly.
  • Discussion includes management strategies for polythelia and polymastia in light of current literature.

Implications:

  • Highlights the rarity of intraareolar polythelia (nipple dichotomy).
  • Underscores the importance of surgical intervention for prophylactic cancer management in cases of polythelia.
  • Contributes to the understanding of managing rare breast anomalies.

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